Home mechanical ventilation for amyotrophic lateral sclerosis: nasal compared to tracheostomy-intermittent positive pressure ventilation
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2018, ChestCitation Excerpt :When a patient requires full ventilatory support 24 hours a day, tracheostomy is not a mandatory requirement, unless there are additional issues with the inability to clear secretions or mental status changes. Long-term use of 24-hour NIV has now been reported by several authors.65-68 Multiple asynchronies may emerge during titration of NIV devices.
Upper airway assessment and its implications for interventions by respiratory physiotherapists
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